{
"Npi": {
"NPI": "1821895046",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BATES ENTERPRISES",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "51 HOLLYWOOD BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHILDERSBURG",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "35044-1064",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "256-378-6118",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "37877 US HIGHWAY 280",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SYLACAUGA",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "35150-6714",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "205-218-3406",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/26/2025",
"LastUpdateDate": "02/26/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BATES",
"AuthorizedOfficialFirstName": "CARLA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "205-441-9608",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "335E00000X",
"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}